Undernutrition in nursing home rehabilitation patients

Zwienen-Pot, J.I. van; Visser, Marjolein; Kuijpers, Martijn F L; Grimmerink, M.F.A.; Kruizenga, Hinke

doi:10.1016/j.clnu.2016.06.003

Cited by 22 publications

(19 citation statements)

References 14 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Our study confirms other findings based on malnutrition risk assessment 12,34 indicating that residents in long term institutionalized care/ nursing homes have high prevalences of low BMI except for the AUPALESENS study sample in which only those without severe cognitive impairment (MMSE≥20)…”

supporting

confidence: 90%

“…Malnutrition is generally associated with decreased health and functional status as well as increased dependency and disability. While less than 10% of independently living older persons in the community are affected, the prevalence among nursing home residents, geriatric patients in hospitals and in geriatric rehabilitation is increasing to 50% and more [10][11][12][13] . However, the reported prevalences vary not only due to differences in study populations but also depend on which definition was used to evaluate malnutrition.…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Prevalence of malnutrition using harmonized definitions in older adults from different settings – A MaNuEL study

et al. 2019

View full text Add to dashboard Cite

Background & Aims: Malnutrition is widespread among older people and related to poor outcome. Reported prevalences vary widely, also because of different diagnostic criteria used. This study aimed to describe prevalences in several populations of older persons in different settings using harmonized definitions. Methods: Available studies within the Joint Programming Initiative (JPI) Knowledge Hub 'Malnutrition in the Elderly' (MaNuEL) were used to calculate and compare prevalences of malnutrition indicators: low BMI (<20 kg/m 2 ; age-specific BMI <20 if age 65-<70 and <22 kg/m 2 if age ≥70 years), previous weight loss (WL), moderate and severe decrease in food intake, and of combined BMI <20 kg/m 2 and/or WL in participants aged ≥65 years. Results: Fifteen samples with in total 5,956 participants (59.3% women) were included: 7 consisting of community-dwelling persons, 2 studies in geriatric day hospitals, 3 studies in hospitalized patients and 3 in nursing homes. Mean age of participants ranged between 67 and 87 years. Up to 4.2% of community-dwelling persons had a BMI <20 kg/m 2 , 1.6 and 9% of geriatric day hospital patients, 4.5-9.4% of hospital patients and 3.8-18.2% of nursing home residents. Using age-specific cutoffs doubled these prevalences. WL was reported in 2.3-10.5% of community-dwelling persons, 6% and 12.6% of geriatric day hospital patients, 5-14% of hospitalized patients and 4.5-7.7% of nursing home residents. Severe decrease in food intake was recorded in up to 9.6% of community-dwelling persons, 1.5% and 12% of geriatric day hospital patients, 3.4-34.2% of hospitalized patients and 1.5-8.2% of nursing home residents. The criteria age-specific BMI and WL showed opposing prevalences across all settings. Compared to women, low BMI and moderate decrease in food intake showed low prevalences in men but similar prevalences were observed for weight loss and severe decrease in food intake. In half of the study samples, participants in a younger age group had a higher prevalence of WL compared to those of an older age group. Prevalence of BMI <20 kg/m 2 and WL at the same time did not exceed 2.6% in all samples. The highest prevalences were observed based on combined definitions when only one of the three criteria had to be present. Conclusions: Prevalences for different criteria vary between and within the settings which might be explained by varying functional status. The criteria used strongly affect prevalence and it may be preferable to look at each criterion separately as each may indicate a nutritional problem.

show abstract

supporting

confidence: 90%

Section: Introductionmentioning

confidence: 99%

Prevalence of malnutrition using harmonized definitions in older adults from different settings – A MaNuEL study

et al. 2019

View full text Add to dashboard Cite

show abstract

“…; Van Zwienen‐Pot et al . ). Apart from prevalent malnutrition, in all settings a large proportion of older people are at risk of developing malnutrition (Kaiser et al .…”

Section: Introductionmentioning

confidence: 97%

“…The prevalence of malnutrition varies widely across different population subgroups of older persons but is generally acknowledged to be higher in older persons with deteriorating health and functional status, and increasing dependency and disability. In the community, malnutrition affects less than 10% of independently living older persons; however, the prevalence of malnutrition has been reported to be 50% and higher in nursing home residents, geriatric patients in acute care hospitals and patients in geriatric rehabilitation Cereda 2012;Kruizenga et al 2016;Rojer et al 2016;Van Zwienen-Pot et al 2016). Apart from prevalent malnutrition, in all settings a large proportion of older people are at risk of developing malnutrition Cereda 2012).…”

Section: Introductionmentioning

confidence: 99%

Tackling the increasing problem of malnutrition in older persons: The Malnutrition in the Elderly (MaNuEL) Knowledge Hub

et al. 2017

Self Cite

View full text Add to dashboard Cite

In order to tackle the increasing problem of malnutrition (i.e. protein-energy malnutrition) in the older population, the Joint Action Malnutrition in the Elderly (MaNuEL) Knowledge Hub has been recently launched as part of the Strategic Research Agenda of the Joint Programming Initiative (JPI) A Healthy Diet for a Healthy Life (HDHL). This paper introduces this new European initiative and describes its objectives and design. The MaNuEL consortium consists of 22 research groups from seven countries (Austria, France, Germany, Ireland, Spain, The Netherlands and New Zealand). The Consortium aims to extend scientific knowledge; strengthen evidence-based practice in the management of malnutrition in older persons; build a sustainable, transnational, competent network of malnutrition experts; and harmonise research and clinical practice. MaNuEL is built on five interconnected work packages that focus on (i) defining treatable malnutrition; (ii) screening of malnutrition in different settings; (iii) determinants of malnutrition; (iv) prevention and treatment of malnutrition; and (v) policies and education regarding malnutrition screening and treatment in older persons across Europe. Systematic literature reviews will be performed to assess current research on malnutrition and identify potential knowledge gaps. Secondary data analyses of nutritional intervention trials and observational studies will also be conducted. Using Web-based questionnaires, MaNuEL will provide insight into current clinical practice, policies and health professionals'

show abstract

“…The prevalence of malnutrition in older adults is different between healthcare settings and is positively correlated with the level of dependence associated with each care setting as well as the degree of cognitive impairment and number of chronic diseases experienced by the patients [ 18 ]. The lowest malnutrition levels are reported in community-dwelling older adults (<5%), and the highest malnutrition levels are reported in rehabilitation and sub-acute care patients (between 20–36%, depending on the assessment tool used) [ 19 , 20 , 21 ].…”

Section: Introductionmentioning

confidence: 99%

Nutritional Status Is Associated with Function, Physical Performance and Falls in Older Adults Admitted to Geriatric Rehabilitation: A Retrospective Cohort Study

Urquiza

Fernandez²,

Arrinda³

et al. 2020

Nutrients

View full text Add to dashboard Cite

Nutritional status is relevant to functional recovery in patients after an acute process requiring rehabilitation. Nevertheless, little is known about the impact of malnutrition on geriatric rehabilitation. This study aimed to determine the association between nutritional status at admission and the evolution of functional and physical outcomes, as well as the capability of nutritional status to identify fallers among patients admitted to geriatric rehabilitation for different reasons. This was a retrospective cohort study of 375 patients. Data collected included age, gender, diagnosis at admission, comorbidities, cognitive and nutritional status, functional and physical measurements, length of stay, mortality and falls. Orthogeriatric patients with worse nutritional status according to the Mini Nutritional Assessment-Short Form (MNA-SF) had a significantly lower Barthel Index at admission and discharge with worse functional gain and poorer outcomes in the Short Physical Performance Battery (SPPB). However, in hospital-deconditioned patients, the MNA-SF score was not significantly associated with functional and physical recovery. Poor nutritional status at admission increased the risk of experiencing at least one fall during rehabilitation in orthogeriatric patients. However, hospital-deconditioned patients who fell had better SPPB scores than those who did not fall. Our results demonstrate the importance of nutritional status in the clinical evolution of orthogeriatric patients throughout the rehabilitation process.

show abstract

Undernutrition in nursing home rehabilitation patients

Cited by 22 publications

References 14 publications

Prevalence of malnutrition using harmonized definitions in older adults from different settings – A MaNuEL study

Prevalence of malnutrition using harmonized definitions in older adults from different settings – A MaNuEL study

Tackling the increasing problem of malnutrition in older persons: The Malnutrition in the Elderly (MaNuEL) Knowledge Hub

Nutritional Status Is Associated with Function, Physical Performance and Falls in Older Adults Admitted to Geriatric Rehabilitation: A Retrospective Cohort Study

Contact Info

Product

Resources

About